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Vol. 42. Issue 7.
Pages 373-375 (July 2006)
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Vol. 42. Issue 7.
Pages 373-375 (July 2006)
Case Report
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Economy Class Syndrome or Immobile Traveler's Syndrome?
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Pilar Gispert
Corresponding author
pgispert@vhebron.net

Correspondence: Dra. P. Gispert. Servicio de Neumología. Hospital Universitario Vall d'Hebron. P.° Vall d'Hebron, 119–129. 08035 Barcelona. España
, M. Estrella Drobnic, Rafael Vidal
Servicio de Neumología, Hospital Universitario Vall d'Hebron, Barcelona, Spain
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Economy class syndrome describes the situation of patients who suffer pulmonary embolism following prolonged immobility in a long distance flight. The objective of the present study was to analyze whether there is a risk of pulmonary thromboembolism after a long overland journey.

The study consecutively enrolled 100 patients diagnosed with pulmonary thromboembolism. Nine of them had previously undertaken a long journey (>5 h), 6 of which had been over land. Consequently, we think that the preventative measures recommended for airline passengers should be extended to users of other means of transport.

Key words:
Deep vein thrombosis
Pulmonary thromboembolism
Traveler's syndrome
Economy class syndrome

El síndrome de la clase turista es el que se asocia a personas que presentan una embolia pulmonar a consecuencia de una inmovilización prolongada tras un viaje por vía aérea de larga duración. El objetivo del presente trabajo ha sido analizar si existe riesgo de tromboembolia pulmonar tras un viaje de larga duración por vía terrestre.

Se ha estudiado a 100 pacientes consecutivos diagnosticados de tromboembolia pulmonar. De ellos, 9 presentaban el antecedente de haber realizado un viaje prolongado (> 5 h) y en 6 de estos casos el transporte fue terrestre. Por este motivo pensamos que las medidas preventivas propuestas para los viajeros por vía aérea deben extenderse a quienes utilizan otro medio de transporte.

Palabras clave:
Trombosis venosa profunda
Tromboembolia pulmonary
Síndrome del viajero
Síndrome de la clase turista
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References
[1]
Simpson K.
Shelter deaths from pulmonary embolism.
Lancet, 2 (1940), pp. 744
[2]
Hommans J.
Thrombosis of the deep leg veins due to prolonged sitting.
N Engl J Med, 250 (1954), pp. 148-149
[3]
Symington IS, Stack SHR.
Pulmonary thromboembolism after travel.
Br J Dis Chest, 71 (1977), pp. 138-140
[4]
Cruickshank JM, Gorlin R, Jennett S.
Air travel and thrombotic episodes: the economy class syndrome.
Lancet, 2 (1988), pp. 497-498
[5]
Eklof S, Kistner RL, Masuda EM, Sonntag BV, Wong HP.
Venous thromboembolism in association with prolonged air travel.
Dermatol Surg, 22 (1996), pp. 637-641
[6]
Mercer A, Brown JO.
Venous thromboembolism associated with air travel: a report of 33 patients.
Aviat Space Environ Med, 69 (1998), pp. 154-157
[7]
Sarvesvaran R.
Sudden natural deaths associated with commercial air travel.
Med SciLaw, 26 (1986), pp. 35-38
[8]
Tardy S, Page Y, Zeni F, Decousus H, Comtet C, Cusey I, et al.
Phlébite du transport-16 observations.
Presse Med, 22 (1993), pp. 811-814
[9]
Ferrari E, Chevallier T, Chapelier A, Baudouy M.
Travel as a risk factor for venous thromboembolic disease: a case-control study.
Chest, 115 (1999), pp. 440-444
[10]
Wright HP, Osborn SS.
Effect of posture on venous velocity measured with NaCL.
Br Heart J, 14 (1952), pp. 325-330
[11]
Landgraf H, Vanselow S, Schulte-Huermann O, Mulmann MV, Bergau L.
Economy class syndrome: rheology, fluid balance, and lower leg edema during a simulated 12-hour long-distance flight.
Aviat Space Environ Med, 65 (1994), pp. 930-935
[12]
Simons R, Krol J.
Jet “Ieg” pulmonary embolism, and hypoxia [letter].
Lancet, 348 (1996), pp. 416
[13]
Carruthers M, Arguelles AE, Mosovich A.
Man in transit: biochemical and physiological changes during intercontinental flights.
Lancet, 1 (1976), pp. 977-981
[14]
Bendz B, Rostrup M, Sevre K, Andersen TO, Sandset PM.
Association between acute hypobaric hypoxia and activation of coagulation in human beings.
Lancet, 365 (2000), pp. 1657-1658
[15]
Benoit R.
Traveller's thromboembolic disease. The economy-class syndrome.
J Mal Vasco, 17 (1992), pp. 84-87
[16]
Kesteven PLJ.
Traveller's thrombosis.
Thorax, 55 (2000), pp. 32-36
[17]
Kraaijenhagen RA, Haverkamp D, Koopman MMW, Prandoni P, Piovella F, Büller HR.
Travel and risk of venous thrombosis.
Lancet, 356 (2000), pp. 1492-1493
[18]
Ten Wolde M, Kraaijenhagen RA, Schiereck J, Hagen PJ, Mathijssen JJ, MacGillavry MR, et al.
Travel and the risk of symptomatic venous thromboembolism.
Thromb Haemost, 89 (2003), pp. 499-505

This study was partially funded by Red Respira (Instituto Carlos III. FIS RTYCCO3/11).

Copyright © 2006. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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